CMS Price Transparency Data

X-ray, hand

Facility: Abrom Kaplan Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $166
Cash Discount Price: $96
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Abrom Kaplan Memorial Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.87x the Medicare baseline. Located in 1310 West Seventh Street, Kaplan, LA.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $96 (108%)

Insurance Median: $166 (187%)

Cash: $96 (108% of Medicare)

Ins. Median: $166 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$46 - $193	52%
Verity Commercial And First Choice Network	$75 - $150	84%
Aetna	$96 - $333	108%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$96 - $193	108%
Humana	$96 - $333	108%
Medicare (plans)	$96 - $193	108%
Ochsner Health Plan	$96 - $193	108%
UnitedHealthcare	$96 - $333	108%
Wellcare Of Louisiana	$96 - $193	108%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$99 - $198	111%
Tricare	$112 - $224	126%
Cigna	$150 - $300	169%
Zelis	$150 - $300	169%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$166 - $333	187%
Healthy Blue (Healthy Louisiana)	$166 - $333	187%
Louisiana Healthcare Connections (Healthy Louisiana)	$166 - $333	187%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $96.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Abrom Kaplan Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.